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Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation

Received: 24 March 2019    Accepted: 26 April 2019    Published: 20 May 2019
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Abstract

The study assessed the performance of children with cochlear implant (CI) under monaural and bimodal listening conditions using Parental Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. A total of 74 children using CI and their parents (either of the biological parent) served as subjects in the present study. The subjects were further divided into two groups based on mode of stimulation used in CI. Group I consisted of children using monaural stimulation in CI i.e. unilateral CI (monaural group). Group II consisted of children using bimodal stimulation in CI i.e. CI in one ear and hearing aid in opposite ear (bimodal group). The results revealed that the subjects of both groups performed significantly poorer under noisy listening conditions compared to quiet listening conditions. The subjects of both the groups performed similar under quiet listening environment. Although, both the groups performed similar under quiet listening condition, the subjects of bimodal group demonstrated significant improvement in aural/oral performance as compared to the subjects of monaural group under noisy listening environment. Thus, it can be inferred that bimodal stimulation in CI provides additional benefits as compared to monaural stimulation in CI especially under noisy listening environments. The findings of the present study complement the existing objective test results which have reported positive outcomes from bimodal stimulation in CI recipients.

Published in Communication and Linguistics Studies (Volume 5, Issue 1)
DOI 10.11648/j.cls.20190501.12
Page(s) 8-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cochlear Implant, Aural/Oral Performance, Monaural Stimulation, Bimodal Stimulation, Quiet Listening Environment, Noisy Listening Environment

References
[1] Baudonck, N., K. van Lierde., I. Dhooge., P. Corthals. 2011. A Comparison of Vowel Productions in Prelingually Deaf Children using Cochlear Implants, Severe Hearing-Impaired Children using Conventional Hearing Aids and Normal-Hearing Children. Folia Phoniatrica Logopeudics. 63: 154-160.
[2] Moog J., A. Geers. 2003. Epilogue: Major Findings, Conclusions and Implications for Deaf Education. Ear & Hearing. 24: 121S-125S.
[3] Geers A. E., J. S. Moog., J. Biedenstein., C. Brenner., H. Hayes. 2009. Spoken Language Scores of Children using Cochlear Implants Compared to Hearing Age-mates at School Entry. Journal of Deaf Studies and Deaf Education. 14: 371-385.
[4] McDermott H. J. 2011. A Technical Comparison of Digital Frequency Lowering Algorithms Available in Two Current Hearing Aids. PLoS ONE, 6 (7): e22358. doi: 10.1371/journal.pone.00223 58.
[5] Krueger B., G. Joseph., U. Rost., A. Strauss-Schier., T. Lenarz., A. Buechner. 2008. Performance Groups in Adult Cochlear Implant Users: Speech Perception Results from 1984 until Today. Otology and Neurotology. 29 (4): 509-512.
[6] Kong Y., G. Stickney., F. Zeng. 2005. Speech and Melody Recognition in Binaurally Combined Acoustic and Electric Hearing. Journal of the Acoustic Society of America. 117: 1351- 1361.
[7] Quadrizius, S. 2008. Effects of Combined Electric and Acoustic Hearing on Speech Perception of a Paediatric Cochlear Implant User. Independent Studies and Capstones Program in Audiology and Communication Sciences, Washington: Washington University School of Medicine.
[8] Turner C. W., B. J. Gantz., M. Lowder., K. Gfeller. 2005. Benefits Seen in Acoustic Hearing plus Electric Stimulation in Same Ear. The Hearing Journal. 58 (11): 53-55.
[9] Luo X., Q. J. Fu., J. J. Galvin. 2007. Vocal Emotion Recognition by Normal-hearing Listeners and Cochlear Implant Users. Trends in Amplification. 11 (4): 301-315.
[10] Murphy, J., G. O‘Donoghue. 2007. Bilateral Cochlear Implantation: An Evidence-Based Medicine Evaluation (Review). Laryngoscope. 117 (8): 1412-1418.
[11] Ching T. Y. C. 2005. The Evidence Calls for Making Binaural-Bimodal Fittings Routine. The Hearing Journal, 58: 32-34.
[12] Knecht, H. A., P. B. Nelson., G. M. Whitelaw., L. L. Feth. 2002. Background Noise Levels and Reverberation Times in Unoccupied Classrooms: Predictions and Measurements. American Journal of Audiology, 11 (2): 65-71.
[13] Potts L., M. Skinner., R. Litovsky., M. Strube., F. Kuk. 2009. Recognition and Localization of Speech by Adult Cochlear Implant Recipients Wearing a Digital Hearing Aid in the Non-implanted Ear (Bimodal Hearing). Journal of the American Academy of Audiology, 20 (6): 353-373.
[14] Zeitler D. M., M. A. Kessler., V. Terushkin., T. J. Roland., M. A. Svirsky., A. K. Lalwani., S. B. Waltzman. 2008. Speech Perception Benefits of Sequential Bilateral Cochlear Implantation in Children and Adults: A Retrospective Analysis. Otology & Neurotology. 29 (3): 314-325.
[15] Van Deun. L., A. van Wieringen., T. Francart., F. Scherf., I. J. Dhooge., N. Deggouj., C. Desloovere., P. H. van de Heyning., F. E. Offeciers., L. de Raeve., J. Wouters. 2010. Bilateral Cochlear Implants in Children: Binaural Unmasking. Audiology & Neurotology. 14: 240-247.
[16] Huart S. A., C. S. Sammeth. 2008. Hearing Aids plus Cochlear Implants: Optimizing the Bimodal Paediatric Fitting, The Hearing Journal. 61 (11): 54-48.
[17] Kumar S. B. R., P. Mohanty., S. G. R. Prakash. 2010. Speech Recognition Performance in Children with Cochlear Implant using Bimodal Stimulation, Indian Journal of Otolaryngology and Head Neck Surgery. 62 (4): 342-345.
[18] Ching T. Y. C., C. Psarros., M. Hill., H. Dillon., P. Incerti. 2001. Should Children who use Cochlear Implants Wear Hearing Aids in the Opposite Ear? Ear and Hearing. 22: 365-380.
[19] Hamzavi J., S. M. Pok., W. Gstoettner., W. D. Baumgartner. 2004. Speech Perception with a Cochlear Implant used in Conjunction with a Hearing Aid in the Opposite Ear. International Journal of Audiology. 43 (2): 61-65.
[20] Ching T. Y. C., E. van Wanrooy., M. Hill., H. Dillon. 2005. Binaural Redundancy and Inter-aural Time Difference Cues for Patients Wearing a Cochlear Implant and a Hearing Aid in Opposite Ears. International Journal of Audiology. 44 (9): 513-521.
[21] Morera C., M. Manrique., L. Ramos., L. Garcia-Ibanex., L. Cavalle., A Huarte., et al. 2005. Advantages of Binaural Hearing Provided through Bimodal Stimulation via a Cochlear Implant and a Conventional Hearing Aid: A 6-month Comparative Study. Acta Oto-Laryngologica. 125 (6): 596-606.
[22] Gifford R. H., M. F. Dorman., S. A. McKarns., A. T. Spahr. 2007. Combined Electric and Contralateral Acoustic Hearing: Word and Sentence Intelligibility with Bimodal Hearing. Journal of Speech, Language, and Hearing Research. 50: 835-843.
[23] Kumar S. B. R., P. Mohanty. 2016. Benefits of Bimodal Stimulation in Children with Cochlear Implant: Role of Contralateral Residual Acoustic Hearing and Auditory Experience with Bimodal Stimulation. International Journal of Allied Medical Science and Clinical Research. 4 (1): 136- 147.
[24] Seeber B. U., U. Baumann., H. Fastl. 2004. Localization ability with Bimodal Hearing Aids and Bilateral Cochlear Implants. Journal of the Acoustical Society of America. 116 (3): 1698-1709.
[25] Zhang T. 2008. The Benefits of Acoustic Input to Combined Electric and Contralateral Acoustic Hearing. Doctoral Dissertation. College Park: University of Maryland.
[26] Bagatto M. P., S. T. Moodie., R. C. Seewald., D. J. Bartlett., S. D. Scollie. 2011. A Critical Review of Audiological Outcome Measures for Infants and Children. Trends in Amplification. 15 (1-2): 23-33.
[27] Arlinger S. D. 2001. How to Assess Outcome of Hearing Aid Fitting in Children? Scandinavian Audiology. 30 (2): 68-72.
[28] Lin F. R., N. Y. Wang., N. E. Fink., A. L. Quittner., L. S. Eisenberg., E. A. Tobey. 2008. CDaCI Investigative Team Assessing the use of Speech and Language Measures in Relation to Parental Perceptions of Development after Early Cochlear Implantation. Otology & Neurotology. 29(2): 208.
[29] Dale P. 1991. The Validity of a Parent Report Measure on Vocabulary and Syntax at 24 Months. Journal of Speech, Hearing Research. 34: 565 -571.
[30] Boudreau D. 2005. Use of a Parent Questionnaire in Emergent and Early Literacy Assessment of Preschool Children. Language, Speech, Hearing Services in Schools. 36: 33-47.
[31] Crais E. 1995. Expanding the Repertoire of Tools and Techniques for Assessing the Communication Skills of Infants and Toddlers. American Journal of Speech Language Pathology. 4 (3): 47-59.
[32] Quar T. K., T. Y. C. Ching., S. Z. Mukari., P. Newall. 2012. Parents' Evaluation of Aural/Oral Performance of Children (PEACH) Scale in the Malay Language: Data for Normal-Hearing Children. International Journal of Audiology. 51 (4): 326-333.
[33] Ching T. Y. C., M. Hill. 2007. The Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) Scale: Normative Data. Journal of American Academy of Audiology. 18: 220-235.
[34] Nascimento L. T., M. C. Bevilaqua. 2005. Evaluation of Speech Perception in Noise in Cochlear Implanted Adults, Brazilian Journal of Otorhinolaryngology. 71 (4): 432-438.
[35] Ching T. Y. C., E. van Wanrooy., H. Dillon. 2007. Binaural-Bimodal Fitting or Bilateral Implantation for Managing Severe to Profound Deafness: A Review, Trends in Amplification. 11: 161-192.
[36] Cullington H. E., F. G. Zeng. 2010. Bimodal Hearing Benefit for Speech Recognition with Competing Voice in Cochlear Implant Subject with Normal Hearing in Contra Lateral Ear. Ear and Hearing. 31 (1): 70-73.
[37] Gifford, R. H., A. P. Olund., M. Dejong. Improving Speech Perception in Noise for Children with Cochlear Implants. Journal of American Academy of Audiology. 22 (9): 623-632.
[38] Fitzpatrick, E. M., C. Seguin., D. Schramm., J. Chenier., S. C. Armstrong. 2009. Users' Experience of a Cochlear Implant Combined with a Hearing Aid. International Journal of Audiology. 48: 172-182.
[39] Boothroyd A. 2008. The Acoustic Speech Signal. In: J. R. Madel., C. Flexer (eds.), Paediatric Audiology (pp. 159-167). NY: Thieme.
[40] Holt, R. F., K. I. Kirk., L. S. Eisenberg., A. S. Martinez., W. Campbell. Spoken Word Recognition Development in Children with Residual Hearing Using Cochlear Implants and Hearing Aids in Opposite Ears. Ear and Hearing, 26: 82-91.
[41] Henry B. A., C. W. Turner. 2003. The Resolution of Complex Spectral Patterns by Cochlear Implant and Normal Hearing Listeners. Journal of the Acoustical Society of America. 113: 2861-2873.
Cite This Article
  • APA Style

    Pooja Waghulde, S. B. Rathna Kumar, Sakeena Shora, Zahra Kabani. (2019). Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation. Communication and Linguistics Studies, 5(1), 8-13. https://doi.org/10.11648/j.cls.20190501.12

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    ACS Style

    Pooja Waghulde; S. B. Rathna Kumar; Sakeena Shora; Zahra Kabani. Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation. Commun. Linguist. Stud. 2019, 5(1), 8-13. doi: 10.11648/j.cls.20190501.12

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    AMA Style

    Pooja Waghulde, S. B. Rathna Kumar, Sakeena Shora, Zahra Kabani. Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation. Commun Linguist Stud. 2019;5(1):8-13. doi: 10.11648/j.cls.20190501.12

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  • @article{10.11648/j.cls.20190501.12,
      author = {Pooja Waghulde and S. B. Rathna Kumar and Sakeena Shora and Zahra Kabani},
      title = {Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation},
      journal = {Communication and Linguistics Studies},
      volume = {5},
      number = {1},
      pages = {8-13},
      doi = {10.11648/j.cls.20190501.12},
      url = {https://doi.org/10.11648/j.cls.20190501.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cls.20190501.12},
      abstract = {The study assessed the performance of children with cochlear implant (CI) under monaural and bimodal listening conditions using Parental Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. A total of 74 children using CI and their parents (either of the biological parent) served as subjects in the present study. The subjects were further divided into two groups based on mode of stimulation used in CI. Group I consisted of children using monaural stimulation in CI i.e. unilateral CI (monaural group). Group II consisted of children using bimodal stimulation in CI i.e. CI in one ear and hearing aid in opposite ear (bimodal group). The results revealed that the subjects of both groups performed significantly poorer under noisy listening conditions compared to quiet listening conditions. The subjects of both the groups performed similar under quiet listening environment. Although, both the groups performed similar under quiet listening condition, the subjects of bimodal group demonstrated significant improvement in aural/oral performance as compared to the subjects of monaural group under noisy listening environment. Thus, it can be inferred that bimodal stimulation in CI provides additional benefits as compared to monaural stimulation in CI especially under noisy listening environments. The findings of the present study complement the existing objective test results which have reported positive outcomes from bimodal stimulation in CI recipients.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Aural/Oral Performance of Children with Cochlear Implant Under Monaural and Bimodal Listening Conditions: A Parental Evaluation
    AU  - Pooja Waghulde
    AU  - S. B. Rathna Kumar
    AU  - Sakeena Shora
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    Y1  - 2019/05/20
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    N1  - https://doi.org/10.11648/j.cls.20190501.12
    DO  - 10.11648/j.cls.20190501.12
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    JF  - Communication and Linguistics Studies
    JO  - Communication and Linguistics Studies
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    EP  - 13
    PB  - Science Publishing Group
    SN  - 2380-2529
    UR  - https://doi.org/10.11648/j.cls.20190501.12
    AB  - The study assessed the performance of children with cochlear implant (CI) under monaural and bimodal listening conditions using Parental Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. A total of 74 children using CI and their parents (either of the biological parent) served as subjects in the present study. The subjects were further divided into two groups based on mode of stimulation used in CI. Group I consisted of children using monaural stimulation in CI i.e. unilateral CI (monaural group). Group II consisted of children using bimodal stimulation in CI i.e. CI in one ear and hearing aid in opposite ear (bimodal group). The results revealed that the subjects of both groups performed significantly poorer under noisy listening conditions compared to quiet listening conditions. The subjects of both the groups performed similar under quiet listening environment. Although, both the groups performed similar under quiet listening condition, the subjects of bimodal group demonstrated significant improvement in aural/oral performance as compared to the subjects of monaural group under noisy listening environment. Thus, it can be inferred that bimodal stimulation in CI provides additional benefits as compared to monaural stimulation in CI especially under noisy listening environments. The findings of the present study complement the existing objective test results which have reported positive outcomes from bimodal stimulation in CI recipients.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • EN1 Neuro Services Private Limited, Mumbai, India

  • Ali Yavar Jung National Institute of Speech & Hearing Disabilities, Mumbai, India

  • Bhatia Hospital, Mumbai, India

  • Ali Yavar Jung National Institute of Speech & Hearing Disabilities, Mumbai, India

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